Medicine and Health Sciences Commons^™

Advancing Entry-Level Otd Students From Novice To Competent With Foundational Skills Using Cognitive Apprenticeship Constructs, Anna B. Galloway, Truly M. Hardemon

Journal of Occupational Therapy Education

This manuscript describes how one entry-level occupational therapy doctoral (OTD) program used an innovative approach to scaffolding assignments through a cognitive apprenticeship (CA) framework. Cognitive apprenticeship strategies include learning in the context or culture of the profession. This is achieved through observation, coaching, engagement, and discovery of strategies by the instructor. This framework was implemented to facilitate the learning of occupational, activity, and task (OAT) analyses through a four-week module within a first-semester foundations course. Cognitive apprenticeship constructs were used as instructional teaching strategies including active learning, group facilitated assignments, hands on observation, and immediate feedback and modeling of professional …

Exploration Of Student Reflections Using The Rehabilitation Treatment Specification System (Rtss) As An Intervention Planning Framework, Tracey E. Recigno, Alison Bell, M. Ferraro

Journal of Occupational Therapy Education

Teaching intervention planning is enhanced with an intentional course design that incorporates critical thinking in order to prepare the next generation of occupational therapy practitioners. The context for this study was a physical disabilities intervention course for an entry-level occupational therapy program that used Fink’s Taxonomy of Significant Learning as a basis for learning outcomes. A novel formative intervention planning assignment required students to use the Rehabilitation Treatment Specification System (RTSS) as a framework to guide their thinking. A qualitative retrospective content analysis of student reflections at the end of the course revealed that the RTSS added value to their …

Supporting The Well-Being And Engagement Of Occupational Therapy Students Through Sensory Modulation: A Pilot Study, Rebecca Matson, Jo Linforth, Julie Hanna, Vikki Barnes-Brown

Journal of Occupational Therapy Education

Student well-being is an increasing area of concern within higher education and one of the biggest causes of attrition. This study sought to investigate the potential for sensory modulation strategies as an approach to support student well-being and engagement in studies through an action research project. Sixteen second-year occupational therapy students took part in a two-week trial of items designed to support sensory modulation, following which they were asked to complete an online survey evaluating the effectiveness of the item in relation to affect, regulation, attention, and activity. Eight students completed the survey containing a mix of Likert scale and …

Recommendations For Academic Programs To Best Support Occupational Therapy Students: Student Perspectives, Elena Wong Espiritu, Hanna Mcclain, R. David Phillippi

Journal of Occupational Therapy Education

Declining occupational therapy student mental health and well-being is well described in the literature. However, there is a lack of literature describing recommendations from the student perspective that could help academic programs as they develop and implement support programming. Involving students in the process can be beneficial as they are experts in their experiences. The purpose of this qualitative descriptive study was to describe recommendations current occupational therapy students had for their academic programs to best support them during their educational experience. The study sample consisted of 628 entry-level masters and doctoral occupational therapy students from 31 states. Participant responses …

Examining Minimal Important Change Of The Self-Assessment Scale Of Clinical Reasoning In Occupational Therapy, Sho Maruyama, Reiko Miyamoto, Satoru Amano, Takuto Nakamura, Peter Bontje

Journal of Occupational Therapy Education

The purpose of the study was to establish and quantify the minimal important change (MIC) value necessary to determine gains or losses in clinical reasoning during student fieldwork assignments as measured by the Self-Assessment of Clinical Reasoning in Occupational Therapy (SA-CROT). This multicenter prospective longitudinal study was conducted with students on their occupational therapy fieldwork in Japan. Two anchor-based methods were used to estimate the MIC values: a receiver operating characteristic-based method and a predictive modeling-based method. The MIC was adjusted based on the percentage of participants who exhibited improvement. Administered were the SA-CROT and the Global Rating of Change …

Book Review: The Path To Private Practice, Mary K. Thelander

Journal of Occupational Therapy Education

The Path to Private Practice: A Roadmap for Speech-Language Pathologists and Occupational Therapists Considering Private Practice (Castro-Casbon, 2023) invites clinicians to consider the benefits of entrepreneurship. The book discusses concerns in the medical and educational systems that may cause occupational therapists (OTs) and speech and language pathologists (SLPs) to experience burnout. The text encourages the reader to consider entering into part-time private practice. Though the book is authored by a SLP, the concerns and strategies discussed in the book are easily compatible with the OT profession. This review details the content of the individual chapters and offers a critical analysis …

Perceived Effectiveness Of Student Assessment Methods In Occupational Therapy Education, Breanna Adkins, Josh Bernstein

Journal of Occupational Therapy Education

The supporting evidence for student-centered assessment practices is well-documented in the literature for higher education, but not in the field of occupational therapy (OT) education. There is no agreed-upon best practice for student assessment in OT education from any professional OT governing body, nor is there current OT education research evaluating the relationship between types of assessment methods and their effectiveness. The purpose of the study was to determine OT educators’ perceived effectiveness of student assessment methods they used to measure student competency. A correlational design determined the strength of the relationship between these variables. Differences between OT Doctorate (OTD) …

Enhancing Student Perceptions Of The Role Of Occupational Therapy In The Intensive Care Unit: An Interprofessional Simulation, Elizabeth Yost, Julie Jacob, Denise Campbell, Nicholas Prush, Leslie M. Smith

Journal of Occupational Therapy Education

Early mobility in the Intensive Care Unit (ICU) can improve a multitude of patient outcomes, and occupational therapists (OTs) play a valuable role as part of the interprofessional team, with the ability to address activities of daily living, functional cognition, psychological and communication needs, and more. In 2022, the first iteration of an ICU interprofessional education simulation (Sim-IPE) yielded poor outcomes for OT students. This study aimed to modify existing pre-learning activities in the Sim-IPE’s second iteration to improve OT students’ perceptions and professional role awareness in interprofessional ICU care. Students from Doctor of OT, Bachelor of Science Nursing, Doctor …

The Student Occupational Therapist Experience Of Bullying On Fieldwork Placement: An Exploratory Study, Jeffrey D. Boniface, Donna Drynan

Journal of Occupational Therapy Education

Bullying is a widespread issue in higher education, notably in healthcare disciplines like nursing, medicine, and physical therapy. However, there is a paucity of research addressing bullying within occupational therapy, which is a relational healthcare discipline emphasizing meaningful relationships, mutual trust, and respect. This study investigated the experiences of student occupational therapists in Canada regarding bullying during their fieldwork placements through exploratory phenomenology. Data from nine former occupational therapy students were collected via focus groups and interviews. Thematic analysis unveiled common experiences including passive aggression, demeaning comments, and a lack of support. Three key themes emerged: the impact of power …

Occupational Therapy Practitioners' Expectations Of Entry-Level Doctorate Versus Master's Graduates, Monique C. Chabot, Sara K. Frye, Nakia Lynn, Kristy Meyer, Laronda Lockhart-Keene, Lydia Navarro-Walker, Sue Persia, Wendy Watcher-Schutz, Kevin Wegner, Michelle Gorenberg, Catherine Goodman

Journal of Occupational Therapy Education

The dual-entry nature of occupational therapy has been a point of discussion for many years with explorations into the profession’s support for the different degree programs and definitions of entry-level practice being the primary foci in the literature. There has been no comparison of the expectations of occupational therapy educators and practitioners of entry-level doctorate and master’s students upon graduation despite differences in curricula and emphasis on advanced skills. This study utilized a descriptive quantitative survey to ask current educators and practitioners (n=124) to indicate their level of expectations of the two types of graduates for sixteen different clinical and …

Book Review: Documentation Manual For Occupational Therapy, Mary K. Thelander, Geneva L. Nolan

Journal of Occupational Therapy Education

The updated fifth edition of Documentation Manual for Occupational Therapy (Gateley, 2024) offers instructors of occupational therapy (OT) and occupational therapy assistant (OTA) students familiar tools and updated content. Clear examples of every section of a SOAP (Subjective, Objective, Assessment and Plan) note as well as steps to reach the composition of the note, such as skilled-problem statements and COAST (client, occupation, assist levels, specific condition and timeline) goals are tools that hold the client-centered and occupation focus clear. Worksheets within the chapters offer formative assessment of understanding of concepts. Specific updates to the fifth edition include expanded content on …

Life Balance, Stress, And Occupational Burnout In Occupational Therapy Assistant Students: An Exploratory Study, Olivia Hammond, Pamela Talero Cabrejo, Laura Cruz, Linda Lilly

Journal of Occupational Therapy Education

Research indicates that United States healthcare workers face significant burnout. College is a crucial period for preparing occupational therapy assistant (OTA) students to manage life balance, stress, and burnout as they transition into the workforce. However, there is limited understanding of these factors within this population. This study examined the relationship between OTA students' life balance and their perceived stress and occupational burnout, considering variables such as employment status, residential status, years of study, and age. A cross-sectional Qualtrics e-survey was administered to OTA students aged 18 and older, comprising a demographic survey, Life Balance Inventory (LBI), Perceived Stress Scale-Short …

Trauma-Informed Pedagogy: The Prevalence Of Trauma Among Students In A Master Of Science Program In Occupational Therapy, Amelia Wilson, Ruth Chen, Michelle P. Phoenix, Sarah Wojkowski, Sandra Vanderkaay

Journal of Occupational Therapy Education

Trauma impacts learning at all stages of education and can be particularly problematic at post-secondary levels and for people from equity-deserving groups. Understanding trauma can support effective teaching and learning. Research suggests that students who have experienced trauma may be more likely to enter healthcare professional programs. Research specific to occupational therapy (OT) students who have experienced trauma is limited. The purpose of this study was to explore the prevalence of trauma among Master of Science (MSc) OT students at a Canadian university. The Childhood Trauma Questionnaire (CTQ) was selected for data collection. CTQ is a validated retrospective, self-report tool …

The Potential Of Learner-Generated Podcasts For Reading In Occupational Therapy Education, Claire Giefer, Whitney Henderson

Journal of Occupational Therapy Education

Research suggests that reading compliance among higher education students is low, warranting enhancement of educational practices to support reading, especially for students enrolled in health professional programs. Researchers used a cross-sectional study design to explore the effects of a learner-generated podcast assignment as a reading supplement in occupational therapy education using two different survey instruments assessing student perceptions and learning styles. Forty-three Occupational Therapy Doctorate (OTD) students participated in this study. Descriptive statistics indicated positive attitudes towards creating and preparing the podcasts but remained mostly neutral towards listening and watching podcasts. Tukey’s HSD test for multiple comparisons detected tactile learners …

The Pet Principle: An Innovative Teaching Strategy To Provide Real-Time Critical Thinking Skills And Improve Self-Efficacy, Adam M. Story, Melinda Delbridge, Brandi Fulwider, Sue Dahl-Popolizio

Journal of Occupational Therapy Education

The person, environment, and therapist (PET) Principle is an innovative teaching strategy designed to improve recall of foundational information, facilitate critical thinking, and improve self-efficacy of student and novice therapists. Specifically, the PET Principle is a microlearning strategy that helps students and novice therapists break down segments of a treatment session using an acronym to promote a "just-in-time” thinking process. Therefore, they learn to consider all aspects of the person, environment, and therapist before, during, and after therapy sessions. To evaluate the effectiveness of the PET Principle and self-efficacy after learning the PET Principle, an 11-item survey containing nine forced-choice …

The Capstone Fair For Promoting Initial Generation Of Occupational Therapy Doctoral Capstone Ideas, Laurie D. Stelter, Sandra M. Whisner, Cynthia Tiongco, Laura Alexander

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) programs across the United States navigate the challenge of designing doctoral capstone (DC) processes to provide students with adequate scaffolding to plan, implement, evaluate, and disseminate their capstone projects. The DC process starts with the daunting tasks of student generation of capstone interests and connecting with mentors for collaborative guidance. The purpose of this program evaluation project was to assess a comprehensive process, known as the Capstone Fair, for effectively and efficiently facilitating students’ initial generation of capstone ideas and the match between student and Faculty Capstone Mentor. A fixed convergent, parallel mixed methods design …

A Survey Of Occupational Therapy Program Leaders: Perceptions Of The Essential Elements For Early Career Faculty, Kathleen Cummer, Angela Maccabe, Kurt Hubbard, Tracy Jirikowic

Journal of Occupational Therapy Education

The rapid growth of academic occupational therapy programs in the United States, combined with an increase in senior faculty retirement, requires a new, growing, robust and well-prepared faculty workforce. In addition to the growth of programs, faculty shortages necessitate proactive strategies for preparing transitioning clinicians for successful academic careers. Faculty development training should be a part of preparation to ensure success of early career faculty. However, it is unknown what the perceptions of occupational therapy leaders are towards faculty development training, what components should be included in training, and the importance of these components. Through this survey research, key findings …

Wellness In Motion: A Quality Improvement Initiative To Support Resident Mobility And Reduce Falls., San N. Pham

Master's Theses and Capstones

Background: Falls are a significant concern in community living centers for older adult veterans. Promoting physical activity and resident engagement is crucial for reducing fall risk among this population.

Local Problem: A specific microsystem within this setting has a fall rate of 3 falls per month. This discrepancy underscores the need for targeted interventions to effectively address this issue.

Methods: This study measured key metrics related to falls and resident engagement in mobility programs both before and after the implementation of an exercise program within the microsystem.

Intervention: The "GIMME 10" exercise program, grounded in evidence-based practices and emphasizing resident-centric …

Game Changer: The Story Of Yasmin Amarsi And The Profession Of Nursing In Pakistan, Kamal Siddiqi

Books

No abstract provided.

Bridging The Gap In Health Literacy: A Quality Improvement Project, Sunny Rana

DNP Projects

Background: Health literacy is an important factor for healthcare outcomes. Measuring healthcare outcomes continues to be traditionally performed after implementation of interventions, however, the aspect of healthcare literacy pertaining to these outcomes is not always measured or evaluated. Understanding the patient’s health literacy can assist the provider to create and include individualized education at the patient’s knowledge level to increase comprehension, compliance, medication adherence and ultimately increase positive health outcomes.

Project Goals

1. Assess baseline literacy for the patients who appear in the practice for a visit over a three-month period.

2. Implementing the measurable METER tool which can provide …

Ua60/4 Applied Arts & Health Nursing, Wku Archives

WKU Archives Collection Inventories

Records created by the department of Nursing.

Exploring The Physiology Of Clostridioides Difficile: Selenium-Dependent Catabolism Of Host-Derived Nutrients, Michael A. Johnstone

Graduate Thesis and Dissertation 2023-2024

Clostridioides difficile is a bacterial pathogen that causes pseudomembranous colitis and the majority of antibiotic-associated diarrheal cases. Broad-spectrum antibiotic usage disrupts the normal gut microbiota and thereby compromises colonization resistance, the main defense against C. difficile infection. Treatment options are limited to vancomycin, fidaxomicin, and the fecal microbiota transplant. Addressing the scarcity of these therapeutics, we documented two explorations in C. difficile drug discovery: (i) evaluation of antibacterial and toxin-suppressing activity of (+)-puupehenone and similar derivatives, and (ii) clarification of a discrepancy in the hypothesized mechanism of auranofin against C. difficile. A better understanding of how C. difficile colonizes …

(Plant)Ing Traditional Roots: Exploring An Impact Of Environmental Shifts On Traditional Phytotherapy Practices In The Cusco Region Of Perú, Nicole Elizabeth Wilmot

Undergraduate Honors Theses

This thesis investigates the potential outcomes of environmental shifts on plant-based medical practices in the Cusco region of Peru. Located in the Andes mountain range, at a high elevation, the environment varies immensely, specifically in the various types of native plants in the region. Historically, using plants as natural forms of medicine or healthcare has been deeply rooted in many indigenous communities, traditions, and cultures globally. Environmentally, there have been potential changes and shifts in temperature, water, and soil that affect the nutrition and health of plants to maintain their beneficial properties. Due to various factors, adaptations or shifts to …

Applying Samhsa Trauma-Informed Principles To A New Graduate Nurse Residency Program For Retention, Charman Harper

Nursing

The inability to retain new graduate nurses contributes to the nursing shortage. With an estimated cost of over $60,000 to train each new graduate nurse, the inability to retain new nurses financially burdens the healthcare industry (McClain et al., 2022). Current studies show that many new graduate nurses leave their jobs after one year (McClain et al., 2022). Without needed change, it will produce stress, anxiety, poor work performance, and decreased job satisfaction, impacting retention rates (McClain et al., 2022). In addition to the traditional new graduate residency program, incorporating the Substance Abuse and Mental Health Services Administration (SAMHSA) Trauma-informed …

Impact Of Nursing Student-Staff Nurse Interactions In Clinical Settings: A Literature Review, Elizabeth Joffe

Senior Honors Theses and Projects

Nursing students receive education and experience from clinicals where they are supported by clinical instructors. These instructors rely on staff nurses to provide much of the hands-on education, thus causing the staff nurses to have an influence on the students. The aim of literature review is to understand current research and findings in regard to the impact staff nurses have on nursing students while in the clinical learning environment. This literature review utilized multiple online databases. Searches were conducted on articles from 2016 to 2024 with specific key terms such as student-staff nurse relationships, clinical learning, belonging, incivility, and positive …

Age-Related Longitudinal Changes In Gray Matter Microstructure, Jessica Hayes

Wayne State University Theses

Measures of the brain’s microstructure may be more sensitive markers of aging than macrostructural measures. However, it remains unclear exactly how gray matter microstructure changes during aging and how this relates to changes in macrostructure. The present study evaluated how neurite density, orientation dispersion, and gray matter volume changed over a three-year period in a sample of healthy older adults. The role of age in modifying structural change within the hippocampus, precuneus, and rostral anterior cingulate cortex was also considered. Repeated measures general linear models additionally evaluated whether degree of change in microstructure between the first two measurement occasions modified …

High-Throughput Screening Of Fda-Approved Drugs For Protecting Retinal Pigment Epithelial Cells Against Er Stress Induced Cell Death: Implications For Age-Related Macular Degeneration, Shaima Ali Jawarneh

Wayne State University Theses

Purpose: Age-related macular degeneration (AMD) is a leading cause of blindness in the elderly population, characterized by the degeneration of the retinal pigment epithelium (RPE). The link between endoplasmic reticulum (ER) stress and AMD is well established, however FDA-approved medications for the treatment of AMD caused by unregulated ER stress are limited and have potential side effects. The purpose of this study was to conduct a comprehensive screening of the FDA-approved drug library in order to identify potential candidates that could be repurposed in order to protect against the degeneration and death of RPE cells due to ER stress.

Methods: …

Lead Bioaccessibility And Commonly Measured Soil Characteristics (Detroit, Mi, Usa) – Phase 1, Sabrina R. Good, Allison R. Harris, Patrick Crouch, Conor T. Gowan, William D. Shuster, Shawn P. Mcelmurry

Open Data at Wayne State

Contaminated urban soil is one of the major contributors to child Pb exposure. To gain a better understanding of Pb risk in urban areas, composite samples were collected from 142 residential, privately owned, parcels in Detroit, Hamtramck, and Highland Park, Michigan, with approval from the property owners. The proximity of soil sampling and former smelter locations were also reported. Sample were collected from areas covered with turf grass. Four samples were collected, one from each cardinal direction (north, south, east, and west), 20 cm from an aluminum tent stake driven into the center of the sampling site. Soils were collected …

Plasma Neurofilament Light As A Biomarker Of Neurodegeneration And Memory Function In Older Adults, Youjin Jung

Wayne State University Dissertations

Plasma neurofilament light (NfL) is a promising biomarker for monitoring and predicting cognitive function and neurodegeneration in Alzheimer’s disease (AD). However, the field still needs a better understanding of what plasma NfL reflects about neurodegenerative and cognitive changes occurring in AD, especially in the early stages of Alzheimer’s disease, for the optimized use of plasma NfL as a biomarker for AD for clinical and research purposes. Therefore, here I investigated how NfL is associated with memory function, the functional connectivity of the default mode network, and the microstructural properties of white matter and gray matter regions vulnerable to Alzheimer’s pathologies …

The Relationship Between Mild Cognitive Dysfunction And Diabetes Self-Management In Community Dwelling Older Adults, Hossein Hafezi Nia

Wayne State University Dissertations

Background. Cognitive dysfunction is an important comorbidity of diabetes, which may reflect brain changes as a consequence of diabetes. Objective The purpose of this study was to examine the association between specific cognitive domains and diabetes self-management behaviors in individuals with diabetes and mild cognitive impairment (MCI). Furthermore, the association between social determinats of health and MCI was investigated. Design A cross-sectional descriptive correlational design was used to address the study aims using data extracted from the 2022 Health and Retirement Study (HRS) and 2016 Harmonized Cognitive Assessment Protocol (HCAP) datasets. Participants Of the total HRS and HCAP participants, 2035 …